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NPI Code Detail

MEDICARE: KARA HODGES BOX CRNP

MEDICARE:   KARA HODGES BOX  CRNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner1-165268AL
2363L00000XNurse Practitioner902334MS

General Provider Information

NPI Number : 1417426958
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARA HODGES BOX CRNP
Provider Business Mailing Address
First Line : 415 S 28TH AVE
Second Line :
City : HATTIESBURG
State : MS
Zip : 39401-7246
Country : US
Telephone Number : 601-579-5210
Fax Number : 601-579-5240
Provider Business Practice Location Address
First Line : 3 THOMPSON PARK
Second Line :
City : HATTIESBURG
State : MS
Zip : 39401-8202
Country : US
Telephone Number : 601-579-3130
Fax Number : 601-579-5240
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2018
Last Update Date : 10/06/2025

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Directions to “ KARA HODGES BOX CRNP” Practice Location

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